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  ========================LICENSE_START=================================
  screenit-web
  %%
  Copyright (C) 2012 - 2020 Facilitaire Samenwerking Bevolkingsonderzoek
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  This program is free software: you can redistribute it and/or modify
  it under the terms of the GNU Affero General Public License as published by
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  This program is distributed in the hope that it will be useful,
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  =========================LICENSE_END==================================
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<html xmlns:wicket>
<wicket:extend>
    <div class="content-inner">
        <h1 class="pageTitle">
            <a href="javascript:void(0);" wicket:id="terugViaTitle" class="page">Brieven</a>
            <span class="divider">&gt;</span> <span class="subpage">Projectbrief template test</span>
        </h1>
        <form wicket:id="regioForm">
            <div class="form-horizontal">
                <fieldset>
                    <div class="row-fluid">
                        <div class="span6">
                            <div class="control-group value">
                                <label class="control-label">Naam</label>
                                <div class="controls">
                                    <span wicket:id="naam"></span>
                                </div>
                            </div>
                            <div class="control-group value">
                                <label class="control-label">Soort</label>
                                <div class="controls">
                                    <span wicket:id="soort"></span>
                                </div>
                            </div>
                            <div class="control-group value">
                                <label class="control-label">Moment</label>
                                <div class="controls">
                                    <span wicket:id="moment"></span>
                                </div>
                            </div>
                            <div class="control-group value">
                                <label class="control-label">Uitzetten via</label>
                                <div class="controls">
                                    <span wicket:id="uitzettenVia"></span>
                                </div>
                            </div>
                            <div class="control-group value">
                                <label class="control-label">Orion werkbak</label>
                                <div class="controls">
                                    <span wicket:id="orionWerkbak"></span>
                                </div>
                            </div>
                            <div class="control-group value">
                                <label class="control-label">Download herinnering</label>
                                <div class="controls">
                                    <span wicket:id="herrinneringDownloaden"></span>
                                </div>
                            </div>
                        </div>
                        <div class="span6">
                            <div class="control-group value">
                                <label class="control-label">Laatst gewijzigd</label>
                                <div class="controls">
                                    <span wicket:id="laatstGewijzigd"></span>
                                </div>
                            </div>
                            <div class="control-group value">
                                <label class="control-label">Formuliernummer</label>
                                <div class="controls">
                                    <span wicket:id="formulierNummer"></span>
                                </div>
                            </div>
                            <div class="control-group value">
                                <label class="control-label">Vragenlijst</label>
                                <div class="controls">
                                    <span wicket:id="vragenlijst"></span>
                                </div>
                            </div>
                            <div class="control-group value">
                                <label class="control-label">Herinnering</label>
                                <div class="controls">
                                    <div wicket:id="herrinering" class="span6"></div>
                                    <div wicket:id="herrinneringPrinten" class="span6"></div>
                                </div>
                            </div>
                        </div>
                    </div>
                </fieldset>
                <fieldset>
                    <div class="row-fluid">
                        <div class="span6">
                            <h2>
                                Regio
                                <i class="icon-asterisk icon-purple"></i>
                            </h2>
                            <div class="control-group">
                                <select wicket:id="regio"></select>
                            </div>
                        </div>
                        <div class="span6">
							<h2>
								Bron: <i class="icon-asterisk icon-purple"></i>
							</h2>
							<div class="control-group">
								<div wicket:id="bron"></div>
								<div><input type="file" wicket:id="upload"></div>
							</div>
						</div>
                    </div>
                </fieldset>
                <wicket:container wicket:id="fieldsContainer"></wicket:container>
            </div>
            <div class="buttons">
                <button class="btn btn-primary right" wicket:id="printen">Genereren</button>
            </div>
        </form>
    </div>   
</wicket:extend>
</html>
